full transcript

From the Ted Talk by Hui-wen Sato: How grief helped me become a better caregiver

Unscramble the Blue Letters

In May of this year, Jimmy Kimmel dlieeverd an emotional monologue on his show, "Jimmy Kimmel Live," about his nweborn son who was diagnosed with a rare haert defect after an astute nurse noticed something wasn't quite right with the baby just hours after his birth. Kimmel sang the praises of this nurse and the entire heahalcrte team who cared for his son through the process of open-heart surgery. His mglnoouoe highlighted the reality that no one, not even a celebrity, is immune from unexpected health csires. At some point, each one of us will be profoundly affected by illness, be it in you, or in someone you love. And every health crisis benefits from an open-hearted nurse who is willing to come alongside the patient and family in some of the most cnllgnaeihg times of life. I'm a critical care nurse, and like many of my colleagues, I went into nursing because I wtnaed to be a therapeutic presence for others. I envisioned the profession to be one where I lived on the highs - not from being eleatved by a celebrity's monologue, but from feeling like I was always doing something meaningful and helpful for others. I thought that the highs alone would be enough to help me cope with the intense stress and heartache that come from taking care of so many sick and sometimes dying patients. But as I rode the roller coaster of suffering with my pantetis and their families, I quickly understood that I was going to need something more than the irttmneitent feel-good moments to sustain me through the lows. And this isn't just true for me. Recent literature sowhs that nurses everywhere are battling this callnehge. Currently, 25 to 33% of critical care nurses show symptoms of severe burnout, which is not just emotional and physical exhaustion but also a feeling of personal detachment from their job. Current ananul turnover rates among critical care nurses range between 13 to 20%, which is higher than the overall turnover rate for other professions. These scsitaitts can be disheartening, given that many of us will rely on a nurse at some point in our lives. In our times of weakness, vulnerability and helplessness, we need nurses who have found a way to preserve meaning, and commitment to their work. While many external factors contributing to burnout have been studied, I've been asking what we neurss are to do with the internal issue of grief - not in terms of caring for others in their grief, but working through our own grief on a deeper level as we are affected by the suffering of our patients and their families. How do I endure through the lows that come with this poosefrsin? I enrude by allowing my natural response of grief to teach me its life-giving lessons. Grief kind of has a bad rap. It's seen as something unutarnal, something to be avoided as much as possible in order to survive. It's seen as a thief of life. But consider this: When I sepnd an entire 12-hour shift with a patient who, just a few days prior, was a healthy, free-wheeling teenager who jumped into a pool the wrong way and has now been told that he will never use his arms or legs again because of a sreeevd spinal cord, grief will be one of the most natural and predominant emotions for him, his family, and for me as his nurse. We can think of this grief like a river running downstream, and as the nurse, I'm on this life raft together with my patient and his family. Grief is strong, it's scary, and no one really knows for sure where it's going to take us. But for this patient, his family, and for all of us, when we find ourselves in this kind of situation, it's natural. So if my endurance strategy as a nurse is to try to swim upstream against grief by way of suppression, and against the next sertam and the next stream, I'm not going to win. Eventually, I'm not going to last. Rather than resisting grief and saying, "It's just too hard to think about these issues," I can choose a different perspective as I accept the inevitable fact that I will be affected by grief. I can embrace my grief as a natural teacher about the deeper things I need in order to endure as a nurse. Resilience in the midst of ehtuosxain. Meaning in the midst of despair. I can redefine my purpose. When my initial idealism about life has been shaken, I can instead transform my grief and choose to use it to cultivate greater empathy for my patients and their families. These are the life-giving lessons of grief that can ultimately empower me to endure as a nurse. rearsceh is slwloy growing on the tiopc of greif in healthcare professionals. Marion Conti-O'Hare is a nsure researcher who developed this perspective into a theory known as "The Nurse as Wounded Healer," where the nurse lneras to transform and rise above grief such that the nurse is all the more able to care for others. Along these lines, another researcher who seidtud post-traumatic stress in nurses has concluded that staying self-aware in grief and wrknoig through questions about the meaning of suffering can eventually grow the nurse in maturity and wisdom, both of which are life-giving tools for endurance. I have two daughters; they're two and four yraes old. About a year ago, I took care of a patient who reminded me a great deal of my younger cihld. No one could explain, beyond a suspected barin infection, what had made this child so sick to the point that he was not expected to survive. I was with his flmiay in his final moments before we withdrew his life support. It was a privilege for me to be with his mother in her grief because I could very much imagine myself in her sohes, so in the moment, it was very iniitvtue to me how to care for her. But for a few weeks after that, I was shipwrecked by grief. It was difficult to function normally at home, and it was very difficult to go back to work. It was the kind of low in nursing that I smlipy couldn't anticipate, much less really prepare myself for, even years into the profession. I hadn't yet leearnd, at that point in my life and my career as a nurse, how to manage my own fairly new maternal istnncits as they cdleliod with this mother's grief. I couldn't navigate those new waters alone. It was a srecipwhk moment for me. But it was also the moment when I learned my next life-giving lesson from my grief. I learned to develop new levles of life-giving relationships. Specifically, I've slowly bgeun to find people in my life who cagluooesruy look at grief with me through this new lens, who look at grief not as a thief of life to be adevoid at all ctsos, but as a difficult - yes - complicated - yes - but a nauratl, powerful, and irreplaceable thecaer of endurance for my life as a nurse. There are amazing hihgs in nunirsg, like being able to walk with jmmiy Kimmel and his son through successful open-heart surgery. The popsrue and joy in those experiences are clear. But when the lows come, the stress and heartache can be so strong that they can muddle motivation and make you qsiutoen your aiibtly to endure in the profession. But burnout does not have to be the inevitable result of constantly giving oneself to the suffering of others. Allowing my natural response of grief to tcaeh me its life-giving lessons may very well be the way in which I as a nurse can rise up and move forward with purposeful endurance in my profession. Thank you. (Applause)

Open Cloze

In May of this year, Jimmy Kimmel _________ an emotional monologue on his show, "Jimmy Kimmel Live," about his _______ son who was diagnosed with a rare _____ defect after an astute nurse noticed something wasn't quite right with the baby just hours after his birth. Kimmel sang the praises of this nurse and the entire __________ team who cared for his son through the process of open-heart surgery. His _________ highlighted the reality that no one, not even a celebrity, is immune from unexpected health ______. At some point, each one of us will be profoundly affected by illness, be it in you, or in someone you love. And every health crisis benefits from an open-hearted nurse who is willing to come alongside the patient and family in some of the most ___________ times of life. I'm a critical care nurse, and like many of my colleagues, I went into nursing because I ______ to be a therapeutic presence for others. I envisioned the profession to be one where I lived on the highs - not from being ________ by a celebrity's monologue, but from feeling like I was always doing something meaningful and helpful for others. I thought that the highs alone would be enough to help me cope with the intense stress and heartache that come from taking care of so many sick and sometimes dying patients. But as I rode the roller coaster of suffering with my ________ and their families, I quickly understood that I was going to need something more than the ____________ feel-good moments to sustain me through the lows. And this isn't just true for me. Recent literature _____ that nurses everywhere are battling this _________. Currently, 25 to 33% of critical care nurses show symptoms of severe burnout, which is not just emotional and physical exhaustion but also a feeling of personal detachment from their job. Current ______ turnover rates among critical care nurses range between 13 to 20%, which is higher than the overall turnover rate for other professions. These __________ can be disheartening, given that many of us will rely on a nurse at some point in our lives. In our times of weakness, vulnerability and helplessness, we need nurses who have found a way to preserve meaning, and commitment to their work. While many external factors contributing to burnout have been studied, I've been asking what we ______ are to do with the internal issue of grief - not in terms of caring for others in their grief, but working through our own grief on a deeper level as we are affected by the suffering of our patients and their families. How do I endure through the lows that come with this __________? I ______ by allowing my natural response of grief to teach me its life-giving lessons. Grief kind of has a bad rap. It's seen as something _________, something to be avoided as much as possible in order to survive. It's seen as a thief of life. But consider this: When I _____ an entire 12-hour shift with a patient who, just a few days prior, was a healthy, free-wheeling teenager who jumped into a pool the wrong way and has now been told that he will never use his arms or legs again because of a _______ spinal cord, grief will be one of the most natural and predominant emotions for him, his family, and for me as his nurse. We can think of this grief like a river running downstream, and as the nurse, I'm on this life raft together with my patient and his family. Grief is strong, it's scary, and no one really knows for sure where it's going to take us. But for this patient, his family, and for all of us, when we find ourselves in this kind of situation, it's natural. So if my endurance strategy as a nurse is to try to swim upstream against grief by way of suppression, and against the next ______ and the next stream, I'm not going to win. Eventually, I'm not going to last. Rather than resisting grief and saying, "It's just too hard to think about these issues," I can choose a different perspective as I accept the inevitable fact that I will be affected by grief. I can embrace my grief as a natural teacher about the deeper things I need in order to endure as a nurse. Resilience in the midst of __________. Meaning in the midst of despair. I can redefine my purpose. When my initial idealism about life has been shaken, I can instead transform my grief and choose to use it to cultivate greater empathy for my patients and their families. These are the life-giving lessons of grief that can ultimately empower me to endure as a nurse. ________ is ______ growing on the _____ of _____ in healthcare professionals. Marion Conti-O'Hare is a _____ researcher who developed this perspective into a theory known as "The Nurse as Wounded Healer," where the nurse ______ to transform and rise above grief such that the nurse is all the more able to care for others. Along these lines, another researcher who _______ post-traumatic stress in nurses has concluded that staying self-aware in grief and _______ through questions about the meaning of suffering can eventually grow the nurse in maturity and wisdom, both of which are life-giving tools for endurance. I have two daughters; they're two and four _____ old. About a year ago, I took care of a patient who reminded me a great deal of my younger _____. No one could explain, beyond a suspected _____ infection, what had made this child so sick to the point that he was not expected to survive. I was with his ______ in his final moments before we withdrew his life support. It was a privilege for me to be with his mother in her grief because I could very much imagine myself in her _____, so in the moment, it was very _________ to me how to care for her. But for a few weeks after that, I was shipwrecked by grief. It was difficult to function normally at home, and it was very difficult to go back to work. It was the kind of low in nursing that I ______ couldn't anticipate, much less really prepare myself for, even years into the profession. I hadn't yet _______, at that point in my life and my career as a nurse, how to manage my own fairly new maternal _________ as they ________ with this mother's grief. I couldn't navigate those new waters alone. It was a _________ moment for me. But it was also the moment when I learned my next life-giving lesson from my grief. I learned to develop new ______ of life-giving relationships. Specifically, I've slowly _____ to find people in my life who ____________ look at grief with me through this new lens, who look at grief not as a thief of life to be _______ at all _____, but as a difficult - yes - complicated - yes - but a _______, powerful, and irreplaceable _______ of endurance for my life as a nurse. There are amazing _____ in _______, like being able to walk with _____ Kimmel and his son through successful open-heart surgery. The _______ and joy in those experiences are clear. But when the lows come, the stress and heartache can be so strong that they can muddle motivation and make you ________ your _______ to endure in the profession. But burnout does not have to be the inevitable result of constantly giving oneself to the suffering of others. Allowing my natural response of grief to _____ me its life-giving lessons may very well be the way in which I as a nurse can rise up and move forward with purposeful endurance in my profession. Thank you. (Applause)

Solution

  1. shows
  2. natural
  3. brain
  4. learns
  5. elevated
  6. newborn
  7. stream
  8. purpose
  9. simply
  10. intuitive
  11. slowly
  12. spend
  13. exhaustion
  14. patients
  15. begun
  16. nursing
  17. ability
  18. question
  19. severed
  20. delivered
  21. teacher
  22. shipwreck
  23. family
  24. instincts
  25. teach
  26. research
  27. annual
  28. unnatural
  29. avoided
  30. courageously
  31. years
  32. nurses
  33. challenge
  34. intermittent
  35. crises
  36. healthcare
  37. highs
  38. nurse
  39. jimmy
  40. shoes
  41. topic
  42. costs
  43. profession
  44. child
  45. challenging
  46. levels
  47. monologue
  48. heart
  49. studied
  50. grief
  51. collided
  52. endure
  53. statistics
  54. wanted
  55. working
  56. learned

Original Text

In May of this year, Jimmy Kimmel delivered an emotional monologue on his show, "Jimmy Kimmel Live," about his newborn son who was diagnosed with a rare heart defect after an astute nurse noticed something wasn't quite right with the baby just hours after his birth. Kimmel sang the praises of this nurse and the entire healthcare team who cared for his son through the process of open-heart surgery. His monologue highlighted the reality that no one, not even a celebrity, is immune from unexpected health crises. At some point, each one of us will be profoundly affected by illness, be it in you, or in someone you love. And every health crisis benefits from an open-hearted nurse who is willing to come alongside the patient and family in some of the most challenging times of life. I'm a critical care nurse, and like many of my colleagues, I went into nursing because I wanted to be a therapeutic presence for others. I envisioned the profession to be one where I lived on the highs - not from being elevated by a celebrity's monologue, but from feeling like I was always doing something meaningful and helpful for others. I thought that the highs alone would be enough to help me cope with the intense stress and heartache that come from taking care of so many sick and sometimes dying patients. But as I rode the roller coaster of suffering with my patients and their families, I quickly understood that I was going to need something more than the intermittent feel-good moments to sustain me through the lows. And this isn't just true for me. Recent literature shows that nurses everywhere are battling this challenge. Currently, 25 to 33% of critical care nurses show symptoms of severe burnout, which is not just emotional and physical exhaustion but also a feeling of personal detachment from their job. Current annual turnover rates among critical care nurses range between 13 to 20%, which is higher than the overall turnover rate for other professions. These statistics can be disheartening, given that many of us will rely on a nurse at some point in our lives. In our times of weakness, vulnerability and helplessness, we need nurses who have found a way to preserve meaning, and commitment to their work. While many external factors contributing to burnout have been studied, I've been asking what we nurses are to do with the internal issue of grief - not in terms of caring for others in their grief, but working through our own grief on a deeper level as we are affected by the suffering of our patients and their families. How do I endure through the lows that come with this profession? I endure by allowing my natural response of grief to teach me its life-giving lessons. Grief kind of has a bad rap. It's seen as something unnatural, something to be avoided as much as possible in order to survive. It's seen as a thief of life. But consider this: When I spend an entire 12-hour shift with a patient who, just a few days prior, was a healthy, free-wheeling teenager who jumped into a pool the wrong way and has now been told that he will never use his arms or legs again because of a severed spinal cord, grief will be one of the most natural and predominant emotions for him, his family, and for me as his nurse. We can think of this grief like a river running downstream, and as the nurse, I'm on this life raft together with my patient and his family. Grief is strong, it's scary, and no one really knows for sure where it's going to take us. But for this patient, his family, and for all of us, when we find ourselves in this kind of situation, it's natural. So if my endurance strategy as a nurse is to try to swim upstream against grief by way of suppression, and against the next stream and the next stream, I'm not going to win. Eventually, I'm not going to last. Rather than resisting grief and saying, "It's just too hard to think about these issues," I can choose a different perspective as I accept the inevitable fact that I will be affected by grief. I can embrace my grief as a natural teacher about the deeper things I need in order to endure as a nurse. Resilience in the midst of exhaustion. Meaning in the midst of despair. I can redefine my purpose. When my initial idealism about life has been shaken, I can instead transform my grief and choose to use it to cultivate greater empathy for my patients and their families. These are the life-giving lessons of grief that can ultimately empower me to endure as a nurse. Research is slowly growing on the topic of grief in healthcare professionals. Marion Conti-O'Hare is a nurse researcher who developed this perspective into a theory known as "The Nurse as Wounded Healer," where the nurse learns to transform and rise above grief such that the nurse is all the more able to care for others. Along these lines, another researcher who studied post-traumatic stress in nurses has concluded that staying self-aware in grief and working through questions about the meaning of suffering can eventually grow the nurse in maturity and wisdom, both of which are life-giving tools for endurance. I have two daughters; they're two and four years old. About a year ago, I took care of a patient who reminded me a great deal of my younger child. No one could explain, beyond a suspected brain infection, what had made this child so sick to the point that he was not expected to survive. I was with his family in his final moments before we withdrew his life support. It was a privilege for me to be with his mother in her grief because I could very much imagine myself in her shoes, so in the moment, it was very intuitive to me how to care for her. But for a few weeks after that, I was shipwrecked by grief. It was difficult to function normally at home, and it was very difficult to go back to work. It was the kind of low in nursing that I simply couldn't anticipate, much less really prepare myself for, even years into the profession. I hadn't yet learned, at that point in my life and my career as a nurse, how to manage my own fairly new maternal instincts as they collided with this mother's grief. I couldn't navigate those new waters alone. It was a shipwreck moment for me. But it was also the moment when I learned my next life-giving lesson from my grief. I learned to develop new levels of life-giving relationships. Specifically, I've slowly begun to find people in my life who courageously look at grief with me through this new lens, who look at grief not as a thief of life to be avoided at all costs, but as a difficult - yes - complicated - yes - but a natural, powerful, and irreplaceable teacher of endurance for my life as a nurse. There are amazing highs in nursing, like being able to walk with Jimmy Kimmel and his son through successful open-heart surgery. The purpose and joy in those experiences are clear. But when the lows come, the stress and heartache can be so strong that they can muddle motivation and make you question your ability to endure in the profession. But burnout does not have to be the inevitable result of constantly giving oneself to the suffering of others. Allowing my natural response of grief to teach me its life-giving lessons may very well be the way in which I as a nurse can rise up and move forward with purposeful endurance in my profession. Thank you. (Applause)

Frequently Occurring Word Combinations

ngrams of length 2

collocation frequency
critical care 3
jimmy kimmel 2
care nurses 2
natural response 2

ngrams of length 3

collocation frequency
critical care nurses 2

Important Words

  1. ability
  2. accept
  3. affected
  4. allowing
  5. amazing
  6. annual
  7. anticipate
  8. applause
  9. arms
  10. astute
  11. avoided
  12. baby
  13. bad
  14. battling
  15. begun
  16. benefits
  17. birth
  18. brain
  19. burnout
  20. care
  21. cared
  22. career
  23. caring
  24. celebrity
  25. challenge
  26. challenging
  27. child
  28. choose
  29. clear
  30. coaster
  31. colleagues
  32. collided
  33. commitment
  34. complicated
  35. concluded
  36. constantly
  37. contributing
  38. cope
  39. cord
  40. costs
  41. courageously
  42. crises
  43. crisis
  44. critical
  45. cultivate
  46. current
  47. days
  48. deal
  49. deeper
  50. defect
  51. delivered
  52. despair
  53. detachment
  54. develop
  55. developed
  56. diagnosed
  57. difficult
  58. disheartening
  59. downstream
  60. dying
  61. elevated
  62. embrace
  63. emotional
  64. emotions
  65. empathy
  66. empower
  67. endurance
  68. endure
  69. entire
  70. envisioned
  71. eventually
  72. exhaustion
  73. expected
  74. experiences
  75. explain
  76. external
  77. fact
  78. factors
  79. families
  80. family
  81. feeling
  82. final
  83. find
  84. function
  85. giving
  86. great
  87. greater
  88. grief
  89. grow
  90. growing
  91. hard
  92. healer
  93. health
  94. healthcare
  95. healthy
  96. heart
  97. heartache
  98. helpful
  99. helplessness
  100. higher
  101. highlighted
  102. highs
  103. home
  104. hours
  105. idealism
  106. illness
  107. imagine
  108. immune
  109. inevitable
  110. infection
  111. initial
  112. instincts
  113. intense
  114. intermittent
  115. internal
  116. intuitive
  117. irreplaceable
  118. issue
  119. issues
  120. jimmy
  121. job
  122. joy
  123. jumped
  124. kimmel
  125. kind
  126. learned
  127. learns
  128. legs
  129. lens
  130. lesson
  131. lessons
  132. level
  133. levels
  134. life
  135. lines
  136. literature
  137. live
  138. lived
  139. lives
  140. love
  141. lows
  142. manage
  143. marion
  144. maternal
  145. maturity
  146. meaning
  147. meaningful
  148. midst
  149. moment
  150. moments
  151. monologue
  152. mother
  153. motivation
  154. move
  155. muddle
  156. natural
  157. navigate
  158. newborn
  159. noticed
  160. nurse
  161. nurses
  162. nursing
  163. oneself
  164. order
  165. patient
  166. patients
  167. people
  168. personal
  169. perspective
  170. physical
  171. point
  172. pool
  173. powerful
  174. praises
  175. predominant
  176. prepare
  177. presence
  178. preserve
  179. prior
  180. privilege
  181. process
  182. profession
  183. professionals
  184. professions
  185. profoundly
  186. purpose
  187. purposeful
  188. question
  189. questions
  190. quickly
  191. raft
  192. range
  193. rap
  194. rare
  195. rate
  196. rates
  197. reality
  198. redefine
  199. relationships
  200. rely
  201. reminded
  202. research
  203. researcher
  204. resilience
  205. resisting
  206. response
  207. result
  208. rise
  209. river
  210. rode
  211. roller
  212. running
  213. sang
  214. scary
  215. severe
  216. severed
  217. shaken
  218. shift
  219. shipwreck
  220. shipwrecked
  221. shoes
  222. show
  223. shows
  224. sick
  225. simply
  226. situation
  227. slowly
  228. son
  229. specifically
  230. spend
  231. spinal
  232. statistics
  233. staying
  234. strategy
  235. stream
  236. stress
  237. strong
  238. studied
  239. successful
  240. suffering
  241. support
  242. suppression
  243. surgery
  244. survive
  245. suspected
  246. sustain
  247. swim
  248. symptoms
  249. teach
  250. teacher
  251. team
  252. teenager
  253. terms
  254. theory
  255. therapeutic
  256. thief
  257. thought
  258. times
  259. told
  260. tools
  261. topic
  262. transform
  263. true
  264. turnover
  265. ultimately
  266. understood
  267. unexpected
  268. unnatural
  269. upstream
  270. vulnerability
  271. walk
  272. wanted
  273. waters
  274. weakness
  275. weeks
  276. win
  277. wisdom
  278. withdrew
  279. work
  280. working
  281. wounded
  282. wrong
  283. year
  284. years
  285. younger